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General NPI Number Information
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NPI Number | 1831968486
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Entity Type | Organization
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Legal Business Name | MARGARITA SALA, PH.D., PLLC
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Dates
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Enumeration Date | 12/22/2023
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 406 E PUTNAM AVE
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City | COS COB
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State | CT
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Zip | 06807-2503
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Country | US
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Telephone | 469-487-8693
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Fax |
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Provider Business Mailing Address
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Address Line | 406 E PUTNAM AVE
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City | COS COB
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State | CT
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Zip | 06807-2503
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Country | US
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Telephone | 469-487-8693
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | MARGARITA SALA
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Credential | PH.D.
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Telephone | 469-487-8693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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